Individual
MRS. KATHLEEN ANN MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1706 E AMBER LN, URBANA, IL 61802-6907
(217) 365-0299
Mailing address
1706 E. AMBER LANE, URBANA, IL 61802
(217) 365-0299
(217) 365-0301
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.004950
IL
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
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